Lid Parallel Conjuctival Folds (LIPCOF)

Subclinical folds parallel to the upper and/or lower lid margin in the temporal and nasal areas of the bulbar conjunctiva

Etiology

Breakdown of elastic fibers in the loose conjunctiva

Tear deficiency and inflammation of the conjunctiva

Prevalence

Common in dry eye patients

Differential Diagnosis

Conjunctivochalasisis (an elevation of the bulbar conjunctiva lying along the central lower lid margin that results in redundant, excessive conjunctiva and can result in dry eye due to tear film instability)